Laserfiche WebLink
v, Rev.6/26//2001 <br /> Page 1 of 5 <br /> L TRANSACTION SCREEN QUESTIONNAIRE <br /> FOR APN 173-210-05 AT 4798 E.MAIN STREET, STOCKTON, CA <br /> PHASE I ENVIRONMENTAL SITE ASSESSMENT <br /> 6. This questionnaire has been prepared by Condor Earth Technologies, Inc. (Preparer) by request <br /> from the Grupe Investment Company (User),in order to obtain information regarding the site <br /> located at 4798 E. Main Street in Stockton. The objective of this questionnaire is to provide the <br /> L User with information regarding the presence or likely presence of any hazardous substances or <br /> petroleum products on the property that may present a material risk of harm to public health or to <br /> the environment. Information provided by this questionnaire will be used to identify recognized <br /> environmental conditions existing on the Site that may or may not require additional research. <br /> The questionnaire is provided on a voluntary basis by the respondent as part of a customary <br /> practice for conducting an Environmental Site Assessment on a specific parcel of real estate. <br /> L Please respond to the best of your ability. To provide further information, please describe reason <br /> for any affirmative answers on a separate sheet of paper. <br /> ` RESPONDENT(CHECK ONE) <br /> Owner Occupant ❑ Preparer(during Site visit) ❑ <br /> Question Answer <br /> Ia. Is this Site used for an industrial use? YesgN <br /> Unk <br /> lb. Is any adjoining property used for an industrial use? Yes Unk <br /> 2a. Did you observe evidence or do you have any prior Yes Unk <br /> knowledge that the property has been used for an industrial <br /> use in the past? <br /> L <br /> 2b. Did you observe evidence or do you have any prior YesNo Unk <br /> knowledge that any adjoining property has been used for an <br /> ` industrial use in the past? <br /> 3a. Is the property used as a gasoline station, motor repair YesNo Unk <br /> facility, dry cleaners,photo developing laboratory, <br /> junkyard or landfill,or as a waste treatment, storage, <br /> disposal,processing, or recycling facility(if applicable, <br /> identify which)? <br /> 3b. Is any adjoining property used as a gasoline station, Yes No Unk <br /> motor repair facility,dry cleaners,photo developing <br /> laboratory,junkyard or landfill, or as a waste treatment, <br /> ` storage, disposal,processing, or recycling facility(if <br /> applicable,identify which)? <br /> r 4a. Did you observe evidence or do you have any prior Yes No Unk <br /> knowledge that the property has been used as a gasoline <br /> station,motor repair facility,dry cleaners,photo developing <br /> laboratory,junkyard or landfill, or as a waste treatment, <br /> storage, disposal,processing, or recycling facility(if <br /> applicable,identify which)? <br /> Initials� <br />